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Riandini, Tessa, Deanette Pang, Matthias P. H. S. Toh, Chuen Seng Tan, Daveon Y. K. Liu, Andrew M. T. L. Choong, Sadhana Chandrasekar, E. Shyong Tai, Kelvin B. Tan, and Kavita Venkataraman. "Diabetes-related lower extremity complications in a multi-ethnic Asian population: a 10 year observational study in Singapore." Diabetologia 64, no. 7 (April 22, 2021): 1538–49. http://dx.doi.org/10.1007/s00125-021-05441-3.
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Abstract Aims/hypothesis Diabetes progression and complication risk are different in Asian people compared with those of European ancestry. In this study, we sought to understand the epidemiology of diabetes-related lower extremity complications (DRLECs: symptomatic peripheral arterial disease, ulceration, infection, gangrene) and amputations in a multi-ethnic Asian population. Methods This was a retrospective observational study using data obtained from one of three integrated public healthcare clusters in Singapore. The population consisted of individuals with incident type 2 diabetes who were of Chinese, Malay, Indian or Other ethnicity. We examined incidence, time to event and risk factors of DRLECs and amputation. Results Between 2007 and 2017, of the 156,593 individuals with incident type 2 diabetes, 20,744 developed a DRLEC, of whom 1208 underwent amputation. Age- and sex-standardised incidence of first DRLEC and first amputation was 28.29/1000 person-years of diabetes and 8.18/1000 person-years of DRLEC, respectively. Incidence of both was highest in individuals of Malay ethnicity (DRLEC, 36.09/1000 person-years of diabetes; amputation, 12.96/1000 person-years of DRLEC). Median time from diabetes diagnosis in the public healthcare system to first DRLEC was 30.5 months for those without subsequent amputation and 10.9 months for those with subsequent amputation. Median time from DRLEC to first amputation was 2.3 months. Older age (p < 0.001), male sex (p < 0.001), Malay ethnicity (p < 0.001), Indian ethnicity (p = 0.014), chronic comorbidities (nephropathy [p < 0.001], heart disease [p < 0.001], stroke [p < 0.001], retinopathy [p < 0.001], neuropathy [p < 0.001]), poorer or missing HbA1c (p < 0.001), lower (p < 0.001) or missing (p = 0.002) eGFR, greater or missing BMI (p < 0.001), missing LDL-cholesterol (p < 0.001) at diagnosis, and ever-smoking (p < 0.001) were associated with higher hazard of DRLEC. Retinopathy (p < 0.001), peripheral vascular disease (p < 0.001), poorer HbA1c (p < 0.001), higher (p = 0.009) or missing (p < 0.001) LDL-cholesterol and missing BMI (p = 0.008) were associated with higher hazard of amputation in those with DRLEC. Indian ethnicity (p = 0.007) was associated with significantly lower hazard of amputation. Conclusions/interpretation This study has revealed important ethnic differences in risk of diabetes-related lower limb complications, with Malays most likely to progress to DRLEC. Greater research efforts are needed to understand the aetiopathological and sociocultural processes that contribute to the higher risk of lower extremity complications among these ethnic groups. Graphical abstract
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Malhotra, Rahul, Ad Maulod, June May Ling Lee, Grand Hak-Land Cheng, Si Yinn Lu, Leng Leng Thang, and Angelique W. M. Chan. "Development of Scales for Generative Concern and Generative Acts Among Older Singaporeans." Innovation in Aging 4, Supplement_1 (December 1, 2020): 812. http://dx.doi.org/10.1093/geroni/igaa057.2954.
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Abstract Generativity (concern in establishing and guiding the next generation) at older ages is increasingly relevant with population ageing and realization of older people as a resource for younger generations. Generativity encompasses two aspects, concern (attitudes/motivations for generativity) and acts (activities to enact/achieve generativity). Existing scales for generative concern and acts pertain to Western populations, limiting their valid measurement in Asian populations. We conducted 12 focus group discussions with 103 older adults in Singapore, to inform a conceptual model of generativity. A striking finding was the family-centric focus of generativity. It led to the development of content-validated scales for generative concern (38-items; e.g. I am concerned that younger people are too pampered) and generative acts (56-items; e.g. In past 3 months, how many times did you teach younger people right from wrong), in English, Mandarin, Malay and Tamil. Future work will establish their structural, convergent/divergent and predictive validity, and reliability.
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KITLV, Redactie. "Book Reviews." Bijdragen tot de taal-, land- en volkenkunde / Journal of the Humanities and Social Sciences of Southeast Asia 158, no. 3 (2002): 535–92. http://dx.doi.org/10.1163/22134379-90003776.
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-Martin Baier, Han Knapen, Forests of fortune?; The environmental history of Southeast Borneo, 1600-1880. Leiden: The KITLV Press, 2001, xiv + 487 pp. [Verhandelingen 189] -Jean-Pascal Bassino, Per Ronnas ,Entrepreneurship in Vietnam; Transformations and dynamics. Copenhagen: Nordic Institute of Asian Studies (NIAS) and Singapore: Institute of Southeast Asian Studies, 2001, xii + 354 pp., Bhargavi Ramamurty (eds) -Adriaan Bedner, Renske Biezeveld, Between individualism and mutual help; Social security and natural resources in a Minangkabau village. Delft: Eburon, 2001, xi + 307 pp. -Linda Rae Bennett, Alison Murray, Pink fits; Sex, subcultures and discourses in the Asia-Pacific. Clayton, Victoria: Monash Asia Institute, 2001, xii + 198 pp. [Monash Papers on Southeast Asia 53.] -Peter Boomgaard, Laurence Monnais-Rousselot, Médecine et colonisation; L'aventure indochinoise 1860-1939. Paris: CNRS Editions, 1999, 489 pp. -Ian Coxhead, Yujiro Hayami ,A rice village saga; Three decades of Green revolution in the Philippines. Houndmills, Basingstoke: MacMillan, 2000, xviii + 274 pp., Masao Kikuchi (eds) -Robert Cribb, Frans Hüsken ,Violence and vengeance; Discontent and conflict in New Order Indonesia. Saarbrücken: Verlag für Entwicklungspolitik, 2002, 163 pp. [Nijmegen Studies in Development and Cultural Change 37.], Huub de Jonge (eds) -Frank Dhont, Michael Leifer, Asian nationalism. London: Routledge, 2000, x + 210 pp. -David van Duuren, Joseph Fischer ,The folk art of Bali; The narrative tradition. Kuala Lumpur: Oxford University Press, 1998, xx + 116 pp., Thomas Cooper (eds) -Cassandra Green, David J. Stuart-Fox, Pura Besakih; Temple, religion and society in Bali. Leiden: KITLV Press, xvii + 470 pp. [Verhandelingen 193.] -Hans Hägerdal, Vladimir I. Braginsky ,Images of Nusantara in Russian literature. Leiden: KITLV Press, 1999, xxvi + 516 pp., Elena M. Diakonova (eds) -Hans Hägerdal, David Chandler, A history of Cambodia (third edition). Boulder, Colorado: Westview, 2000, xvi + 296 pp. -Robert W. Hefner, Leo Howe, Hinduism and hierarchy in Bali. Oxford: James Currey, Santa Fe: School of American Research Press, 2001, xviii + 228 pp. -Russell Jones, Margaret Shennan, Out in the midday sun; The British in Malaya, 1880-1960. London: John Murray, 2000, xviii + 426 pp. -Russell Jones, T.N. Harper, The end of empire and the making of Malaya. Cambridge: Cambridge University Press, 1999, xviii + 417 pp. -Sirtjo Koolhof, Christian Pelras, The Bugis. Oxford: Blackwell, 1996, xvii + 386 pp. [The People of South-East Asia and the Pacific.] -Tania Li, Lily Zubaidah Rahim, The Singapore dilemma; The political and educational marginality of the Malay community. Kuala Lumpur: Oxford University Press, 1998, xviii + 302 pp. -Yasser Mattar, Vincent J.H. Houben ,Coolie labour in colonial Indonesia; A study of labour relations in the Outer Islands, c. 1900-1940. Wiesbaden: Harrassowitz, 1999, xvi + 268 pp., J. Thomas Lindblad et al. (eds) -Yasser Mattar, Zawawi Ibrahim, The Malay labourer; By the window of capitalism. Singapore: Institute of Southeast Asian Studies, 1998, xvi + 348 PP. -Kees Mesman Schultz, Leo J.T. van der Kamp, C.L.M. Penders, The West Guinea debacle; Dutch decolonisation and Indonesia 1945-1962. Leiden: KITLV Press, 2002, viii + 490 pp. -S. Morshidi, Beng-Lan Goh, Modern dreams; An inquiry into power, cultural production, and the cityscape in contemporary urban Penang, Malaysia. Ithaca, New York: Cornell University Southeast Asia Program, 2002, 224 pp. [Studies on Southeast Asia 31.] -Richard Scaglion, Gert-Jan Bartstra, Bird's Head approaches; Irian Jaya studies - a programme for interdisciplinary research. Rotterdam: Balkema, 1998, ix + 275 pp. [Modern Quarternary Research in Southeast Asia 15.] -Simon C. Smith, R.S. Milne ,Malaysian politics under Mahathir. London: Routledge, 1999, xix + 225 pp., Diane K. Mauzy (eds) -Reed L. Wadley, Christine Helliwell, 'Never stand alone'; A study of Borneo sociality. Phillips, Maine: Borneo Research Council, 2001, xiv + 279 pp. [BRC Monograph Series 5.] -Nicholas J. White, Francis Loh Kok Wah ,Democracy in Malaysia; Discourses and practices. Richmond, Surrey: Curzon Press, 2002, xiii + 274 pp. [Nordic Institute of Asian Studies Democracy in Asia Series 5.], Khoo Boo Teik (eds)
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Booth, Anne, W. L. Korthals Altes, Wim Doel, Robert Cribb, C. D. Grijns, Kingsley Bolton, David Henley, et al. "Book Reviews." Bijdragen tot de taal-, land- en volkenkunde / Journal of the Humanities and Social Sciences of Southeast Asia 149, no. 2 (1993): 374–99. http://dx.doi.org/10.1163/22134379-90003134.
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- Anne Booth, W.L. Korthals Altes, Changing economy in Indonesia, Amsterdam: Royal Tropical Institute (General trade statistics, 1822-1949; volume 12a). - Wim van den Doel, Robert Cribb, Historical dictionary of Indonesia. Metuchen, N.J., & London: The Scarecrow Press, 1992. - C.D. Grijns, Kingsley Bolton, Sociolinguistics today; International perspectives. London and New York: Routledge, 1992, 383 pp., Helen Kwok (eds.) - David Henley, Ole Bruun, Asian perceptions of nature: Papers presented at a Workshop, NIAS, Copenhagen, Denmark, October 1991. Copenhagen: Nordic Institute of Asian studies (Nordic Proceedings in Asian studies No. 3), 1992, 261 pp., Arne Kalland (eds.) - Ward Keeler, Jonathon Falla, True love and Bartholomew: Rebels on the Burmese border. Cambridge: Cambridge University Press, 1991. - Elsbeth Locher-Scholten, Mary F. Somers Heidhues, Bangka tin and mentok pepper; Chinese settlement on an Indonesian island. Singapore: Institute of South-east Asian studies, 1992, 296 pp. - Marie Alexandrine Martin, Christin Kocher Schmid, Of people and plants. A botanical ethnography of Nokopo village, Madang and Morobe provinces, Papua New Guinea. Ethnologisches Seminar der Universität und Museum für Völkerkunde, Basel, 1991, 336 pp. - J. Noorduyn, Bernhard Dahm, Regions and regional developments in the Malay-Indonesian world: 6 European Colloquium on Indonesian and Malay studies (ECIMS) June 1987 Passau. Wiesbaden: Harassowitz, 1992, x + 221 pp., maps. - J. Noorduyn, J.N. Sneddon, Studies in Sulawesi Linguistics, Part II, NUSA, Linguistic studies of Indonesian and other languages in Indonesia, volume 33. Jakarta: Baden Penyelenggara Seri Nusa, Universitas Katolik Indonesia Atma Jaya. 1991, x + 115 pp., maps. - Anton Ploeg, Richard Michael Bourke, Taim hangre: Variation in subsistence food supply in the Papua New Guinea highlands, Unpublished PhD thesis, submitted in the department of human geography, The Australian National University, RSPacS, Canberra, 1988, xxiii + 370 pp., maps, tables, figures, appendices. - Anton Ploeg, Maureen A. MacKenzie, Androgenous objects: String bags and gender in central New Guinea. Chur, Switzerland, Harwood Academic Publishers, 1991, xv + 256 pp., maps, figures, bibliography, index. - Nico G. Schulte Nordholt, Jeremy Kemp, Peasants and cities; Cities and peasants; Rethinking Southeast Asian models, Overveen, ACASEA, 1990, 126 pp. - Rudiger Schumacher, Clara Brakel-Papenhuijzen, The Bedhaya court dances of central Java, Leiden/New York/Köln: Brill, 1992, xvi + 349 pp. - Corry M.I. van der Sluys, Carol Laderman, Taming the wind of desire; Psychology, medicine, and aesthetics in Malay Shamanistic performance. University of California Press, 1991, 382 pp. - J.H.F. Sollewijn Gelpke, Geoffrey Irwin, The prehistoric exploration and colonisation of the Pacific. Cambridge: Cambridge University Press 1992, viii + 240 pp. - R.G. Tol, Burhan Magenda, East Kalimantan; The decline of a commercial aristocracy. Ithaca, Cornell University (Cornell Modern Indonesia Project, Monograph Series (publication no. 70)), 1991, viii + 113 pp., maps.
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Chuan, Soh Keng, Rajeev Kumar, Niti Matthew, Kua Ee Heok, and Ng Tze Pin. "Subsyndromal depression in old age: clinical significance and impact in a multi-ethnic community sample of elderly Singaporeans." International Psychogeriatrics 20, no. 1 (February 2008): 188–200. http://dx.doi.org/10.1017/s1041610207006187.
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ABSTRACTObjective: This cross-sectional study examined the clinical significance and impact of subsyndromal depression in a sample of elderly people living in the community in Singapore.Method: Data were analyzed from a population survey (the Singapore National Mental Health Survey of the Elderly). A total of 1092 respondents from a nationally representative multi-ethnic (Chinese, Malay and Indian) stratified random sample of older adults aged 60 and above were examined for depression using the Geriatric Mental State Examination (GMS). Diagnostic confidence levels of 3–5 indicated a DSM-IV diagnosis of syndromal depression, and 1–2 indicated subsyndromal depression. Other variables included sociodemographic characteristics, psychiatric and medical comorbidities, MMSE, health awareness, health and functional status.Results: Subjects with subsyndromal depression were more likely to have poor socioeconomic status, cognitive impairment, anxiety, and measures of poor mental, physical and functional status compared with non-depressed subjects, and were similar to or worse than syndromal cases. In multivariate analyses that controlled for age, gender, ethnicity, education and several other sociodemographic factors, both subsyndromal and syndromal depression were significantly associated with higher numbers of medical comorbidities, diagnoses of comorbid dementia and anxiety, lower MMSE scores, self-reported mental health problem, functional disability and poor health status.Conclusion: In this Asian population, subsydromal depression had the same clinical significance and health impact as syndromal depression, similar to findings in the West.
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Office, Editorial. "Event coverage: ESMO Asia Congress returns to Singapore." Advances in Modern Oncology Research 2, no. 6 (December 30, 2016): 303. http://dx.doi.org/10.18282/amor.v2.i6.190.
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<p>The second ESMO Asia 2016 Congress, led by an international committee to promote the sharing of expertise and interaction between regional and international experts in oncology, returned for a second appearance at the Suntec Convention and Exhibition Centre in Singapore recently. Organized by the European Society for Medical Oncology (ESMO), the Asian leg of the annual scientific and educational congress was held from December 16–19th, 2016 and attended by over 2,000 healthcare professionals and exhibitors, including representatives from AMOR who were also present to cover the event. <br /> <br />ESMO Asia 2016 brought together oncologists from the Asian region and beyond to discuss important discoveries in oncology and to update delegates on the latest standards of care, the organizer noted in its media release. More specifically, delegates attending the meeting took the opportunity to exchange thoughts and ideas on current clinical challenges and novel treatment strategies for a variety of tumor subtypes, as well as to highlight emerging cancer therapeutics that are rapidly gaining attention in clinical settings. In addition to highlighting the latest in cancer research, the congress also sought to underscore bioethical, economic, and social challenges posed by cancer by addressing crucial issues such as the rising costs of treatments, the need for psychological support for patients, the need for better palliative care, and the vital importance of improving access to innovative drugs. <br /> <br />In this edition of the ESMO Asia congress, the keynote lectures consisted of two topics: how the differences between tumors can impact the design of effective treatments, and the link between common Epstein-Barr virus and nasopharyngeal cancer. With these two keynote lectures setting the tone for the congress, delegates saw a wide range of key discussions pertaining to the clinical relevance of molecular advances and innovative treatment approaches. Moreover, sessions that focus on improving current clinical understanding of various tumor types and novel treatment strategies for different tumor subtypes were also prominently featured. <br /> <br />In his opening remarks, ESMO President Prof. Fortunato Ciardiello said, “We are glad to be returning to Singapore for the second ESMO Asia Congress. Consolidating activities in Asia underlines the importance ESMO places on collaboration with partners in this region. The program this year will have a strong emphasis on state-of-the-art education and on the current standard of care across all major tumor types.” He continued, “In addition to practical seminars and wide-ranging discussions about how oncologists and other stakeholders can best collaborate for greater treatment results for cancer patients, delegates can look forward to opportunities for interaction with both local experts and key opinion leaders from the international oncology community.” <br /> <br />The opening ceremony was graced by the Guest-of-Honor – Dr. Amy Khor, Singapore’s Senior Minister of State for Health. In her speech, Dr. Khor laid emphasis on how events such as the ESMO Asia Congress are essential in providing an open platform to facilitate research collaboration. “To address the challenges presented by the complexity of cancer, the development of regional and international research networks is increasingly important to catalyze scientific communication and collaboration,” she said. To this end, Dr. Khor lauded the partnership between ESMO and the Singapore Society of Oncology in setting up a new office for cancer research aimed at facilitating collaborations between researchers in Europe and Asia — ESMO’s first footprint in Asia. “By building capabilities and strengthening our partnerships, we can do much more to improve patient care and treatment, especially for the Asian population,” she said. <br /> <br />Dr. Ravindran Kanesvaran, President of the host organization – Singapore Society of Oncology, echoed the sentiment. “Oncology is a rapidly evolving field that requires a multi-disciplinary approach between various healthcare professionals from different backgrounds and experience extending across all areas of cancer care trying their best to bring an end to this growing scourge. This collaborative endeavor is key to improve access, raise the quality of treatment delivery, and standard of cancer care in Singapore and Asia in general,” he stated. The cancer research office, which is yet to be officially named and launched, will open in the first quarter of 2017 at the National Cancer Centre Singapore and will administer educational grants, workshops, and conferences between Europe and Asia, Dr. Ravindran added. <br /> <br />The ESMO Asia 2016 Congress was supported by 20 of the most important and influential oncology associations in the region, including the Singapore Society of Oncology and the oncology societies from Australia, Bangladesh, China, Hong Kong, India, Indonesia, Iran, Japan, Malaysia, Myanmar, New Zealand, Pakistan, the Philippines, South Korea, Taiwan, Thailand and Uzbekistan. <br /> <br />During the congress, AMOR spoke to Dr. Susanna Hilda Hutajulu, a representative of the Indonesian Society of Hematology and Medical Oncology (ISHMO). Dr. Hutajulu is a practising medical oncologist in Indonesia who is actively involved in clinical research work and she is a regular participant of ESMO meetings, having recently attended ESMO 2016 in Copenhagen, Denmark. Dr. Susanna had also attended the inaugural ESMO Asia congress in 2015 and is an avid supporter of the congress’s multi-faceted agenda. On the development of cancer research in South East Asia, she told AMOR, “I agree that there should be a dedicated platform to showcase and promote the research work of oncology specialists and organizations in South East Asia.” <br /> <br />Dr. Hutajulu added, “Researchers in Indonesia place great importance in Scopus indexing when it comes to choosing the right journals to publish their research work in.” Meanwhile, the Myanmar Oncology Society (MOS) was represented by Dr. Shu Mon, who is based at the Thurein Mon Clinic in Yangon, Myanmar. During the congress, she gave a presentation on breast cancer management that is specific to the Myanmar experience. According to Dr. Shu Mon, there are only 30 qualified medical oncologists serving the whole of Myanmar, a country with a population of about 51 million people. On establishing collaborations with an academic journal, she said, “MOS is willing to work with a journal such as AMOR to promote the oncology research in Myanmar provided that there are suitable opportunities that both sides could agree on.”</p><p> </p><p>During the congress, Assoc. Prof. Dr. Ho Gwo Fuang, the guest managing editor for AMOR’s upcoming special issue and a representative of the Malaysian Oncological Society (MOS) at ESMO Asia 2016, was featured as one of the panelists of the ESMO-COS-MOS-NZSO Joint Symposium on ‘New insights into gastrointestinal cancers’. Dr. Ho, who is a medical oncologist at Malaysia’s University Malaya Medical Centre, delivered a talk entitled ‘Adjuvant aspirin for colorectal cancer? A cross-Asia collaborative effort’, a multi-nation initiative involving Singapore, Malaysia, and other Asia Pacific countries. His presentation offered strong scientific and observational data to support the adjuvant use of aspirin in reducing the formation of polyps and metastases after colorectal cancer diagnosis. Towards the end of his presentation, Dr. Ho highlighted the ongoing curation of AMOR’s Special Issue and invited his peers to submit papers to the journal for consideration.</p>
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Kwok, V., H. Y. Lee, S. M. Tan, W. S. A. Chee, K. Ann, and N. R. Binte Kamaruzaman. "Eating disorders in Malays in Singapore." European Psychiatry 41, S1 (April 2017): S554. http://dx.doi.org/10.1016/j.eurpsy.2017.01.791.
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IntroductionThe prevalence of eating disorders has been increasing in the Asian countries. Malays in Singapore are at the crossroads because they are largely traditional in practice and almost all are Muslim, but are exposed to western culture. Studies found that Malays at increased risk of eating disorders but yet those that present for treatment are very small, and this study aims to study Malays with eating disorders to unveil this contradiction.MethodsAll Malay patients presenting to Singapore General Hospital (SGH), which hosts the only specialized eating disorder programme in Singapore, between 2003 and 2014 were identified and medical records studied retrospectively.ResultsMalays constitute only 42 out of 1340 patients treated in the same period. The mean age at presentation is 18.81 years (SD = 5.54) and the majority are students (78.6%). A total of 92.9% are single. There are more cases of bulimia nervosa than anorexia nervosa (45.2% vs. 26.2%). In total, 54.8% have psychiatric comorbidities, the most common is depression (31.0%), 38.1% have a history of deliberate self-harm and 21.4% attempted suicide. A total of 52.4% reported teasing as a trigger, while 16.7% were triggered by being overweight.DiscussionThere is only a small number of Malays that presented. Fasting is commonly which may be confused with restriction. Other factors could be lack of awareness. The higher prevalence of bulimia nervosa suggests that purging is recognized as abnormal. High prevalence of comorbidities suggests that family members recognize comorbidities better. Outreach programs for Malay will help increase awareness.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Tao, Yijin, Yih Chung Tham, Miao Li Chee, Shivani Majithia, Sahil Thakur, Zhi-Da Soh, Carol Yim-Lui Cheung, Charumathi Sabanayagam, Tien Yin Wong, and Ching-Yu Cheng. "Profile of retinal nerve fibre layer symmetry in a multiethnic Asian population: the Singapore Epidemiology of Eye Diseases study." British Journal of Ophthalmology 104, no. 6 (September 26, 2019): 836–41. http://dx.doi.org/10.1136/bjophthalmol-2019-314894.
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BackgroundTo examine the normative profile and determinants of retinal nerve fibre layer (RNFL) symmetry in a non-glaucoma, multiethnic Asian population.MethodsChinese, Malay and Indian adults aged ≥40 years were recruited from the Singapore Epidemiology of Eye Diseases study. Participants underwent standardised systemic and ocular examinations. RNFL thickness was obtained using a spectral-domain optical coherence tomography (Cirrus HD-OCT). RNFL symmetry (in %) was calculated based on Pearson correlation coefficient between the RNFL thickness profiles of the right and left eyes. Multivariable linear regression analysis was used to investigate the associations between ocular and systemic factors with RNFL symmetry.Results4211 participants (1227 Chinese, 1245 Malays, 1739 Indians) were included. The mean RNFL symmetry was 86.7%±8.5% in Chinese, 84.7%±10.2% in Malays and 84.0%±10.7% in Indians. The fifth percentile limit of RNFL symmetry was 71.2% in Chinese, 65.0% in Malays and 62.0% in Indians. In multivariable analysis adjusting for age, gender, ethnicity, hypertension, diabetes, hyperlipidaemia, intereye absolute differences in intraocular pressure (IOP), axial length and disc area, Malays (β=−0.9; p=0.03) and Indians (β=−1.76; p<0.001) were found to have lower RNFL symmetry compared with Chinese. Older age, greater intereye differences in IOP, axial length and disc area were significantly associated with lower RNFL symmetry (all p≤0.003).ConclusionsIn non-glaucoma individuals, intereye RNFL profile is less symmetric in Malays and Indians than that in Chinese. This also suggests that current commercial optical coherence tomography’s deployment of a single, universal RNFL symmetry cut-off for glaucoma detection is flawed, and ethnic-specific cut-off is warranted.
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Ko, Soo Meng, and Ee Heok Kua. "Ethnicity and Elderly Suicide in Singapore." International Psychogeriatrics 7, no. 2 (June 1995): 309–17. http://dx.doi.org/10.1017/s1041610295002067.
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In the cosmopolitan city of Singapore the annual suicide rates in the general population from 1985 to 1991 remained fairly constant, with a mean of 15.3 per 100,000. It was highest among Indians (19.5 per 100,000), followed by Chinese (16.2 per 100,000) and Malays (2.3 per 100,000). The suicide rates were higher in elderly people (aged 65 years and over) than in younger age groups (10 to 64 years) and in males than in females. For the elderly, the mean annual suicide rate for this period was 52.0 per 100,000. However, it was highest among Chinese, with 59.3 per 100,000, followed by Indians at 33.9 per 100,000, and, again, lowest among Malays, with 3.0 per 100,000. Possible sociocultural factors are proposed to account for differences in suicide rates among these ethnic groups.
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KITLV, Redactie. "Book Reviews." Bijdragen tot de taal-, land- en volkenkunde / Journal of the Humanities and Social Sciences of Southeast Asia 159, no. 2 (2003): 405–68. http://dx.doi.org/10.1163/22134379-90003749.
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-Leonard Y. Andaya, Michel Jacq-Hergoualc'h, The Malay Peninsula; Crossroads of the maritime silk road (100 BC-1300 AD). [Translated by Victoria Hobson.] Leiden: Brill, 2002, xxxv + 607 pp. [Handbook of oriental studies, 13. -Greg Bankoff, Resil B. Mojares, The war against the Americans; Resistance and collaboration in Cebu 1899-1906. Quezon city: Ateneo de Manila University, 1999, 250 pp. -R.H. Barnes, Andrea Katalin Molnar, Grandchildren of the Ga'e ancestors; Social organization and cosmology among the Hoga Sara of Flores. Leiden: KITLV Press, 2000, xii + 306 pp. [Verhandeling 185.] -Peter Boomgaard, Emmanuel Vigneron, Le territoire et la santé; La transition sanitaire en Polynésie francaise. Paris: CNRS Éditions, 1999, 281 pp. [Espaces et milieux.] -Clara Brakel-Papenhuyzen, Raechelle Rubinstein, Beyond the realm of the senses; The Balinese ritual of kekawin composition. Leiden: KITLV Press, 2000, xv + 293 pp. [Verhandelingen 181.] -Ian Caldwell, O.W. Wolters, History, culture, and region in Southeast Asian perspectives. Ithaca, NY: Southeast Asia program, Cornell University/Singapore: Institute of Southeast Asian studies, 1999, 272 pp. [Studies on Southeast Asia 26.] -Peter van Diermen, Jonathan Rigg, More than the soil; Rural change in Southeast Asia. Harlow, Essex: Prentice Hall / Pearson education, 2001, xv + 184 pp. -Guy Drouot, Martin Stuart-Fox, Historical dictionary of Laos. Second edition. Lanham, Maryland: The Scarecrow Press, 2001, lxi + 527 pp. [Asian/Oceanian historical dictionaries series 35.] [First edition 1992.] -Doris Jedamski, Elsbeth Locher-Scholten, Women and the colonial state; Essays on gender and modernity in the Netherlands Indies 1900-1942. Amsterdam: Amsterdam University Press, 2000, 251 pp. -Carool Kersten, Robert Hampson, Cross-cultural encounters in Joseph Conrad's Malay fiction. Basingstoke: Palgrave, 2000, xi + 248 pp. -Victor T. King, C. Michael Hall ,Tourism in South and Southeast Asia; Issues and cases. Oxford: Butterworth-Heinemann, 2000, xiv + 293 pp., Stephen Page (eds) -John McCarthy, Bernard Sellato, Forest, resources and people in Bulungan; Elements for a history of settlement, trade and social dynamics in Borneo, 1880-2000. Jakarta: Center for international forestry research (CIFOR), 2001, ix + 183 pp. -Naomi M. McPherson, Michael French Smith, Village on the edge; Changing times in Papua New Guinea. Honolulu: University of Hawai'i Press, 2002, xviii + 214 pp. -Gert J. Oostindie, Peter van Wiechen, Vademecum van de Oost- en West-Indische Compagnie Historisch-geografisch overzicht van de Nederlandse aanwezigheid in Afrika, Amerika, Azië en West-Australië vanaf 1602 tot heden. Utrecht: Bestebreurtje, 2002, 381 pp. -Gert J. Oostindie, C.L. Temminck Groll, The Dutch overseas; Architectural Survey; Mutual heritage of four centuries in three continents. (in cooperation with W. van Alphen and with contributions from H.C.A. de Kat, H.C. van Nederveen Meerkerk and L.B. Wevers), Zwolle: Waanders/[Zeist]: Netherlands Department for Conservation, [2002]. 479 pp. -Gert J. Oostindie, M.H. Bartels ,Hollanders uit en thuis; Archeologie, geschiedenis en bouwhistorie gedurende de VOC-tijd in de Oost, de West en thuis; Cultuurhistorie van de Nederlandse expansie. Hilversum: Verloren, 2002, 190 pp. [SCHI-reeks 2.], E.H.P. Cordfunke, H. Sarfatij (eds) -Henk Schulte Nordholt, Tony Day, Fluid iron; State formation in Southeast Asia. Honolulu: University of Hawai'i Press, 2002, xii + 339 pp. -Nick Stanley, Nicholas Thomas ,Double vision; Art histories and colonial histories in the Pacific. Cambridge: Cambridge University Press, 1999, xii + 289 pp., Diane Losche, Jennifer Newell (eds) -Heather Sutherland, David Henley, Jealousy and justice; The indigenous roots of colonial rule in northern Sulawesi. Amsterdam: VU Uitgeverij, 2002, 106 pp. -Gerard Termorshuizen, Piet Hagen, Journalisten in Nederland; Een persgeschiedenis in portretten 1850-2000. Amsterdam: Arbeiderspers, 2002, 600 pp. -Amy E. Wassing, Bart de Prins, Voor keizer en koning; Leonard du Bus de Gisignies 1780-1849; Commissaris-Generaal van Nederlands-Indië. Amsterdam: Balans, 2002, 288 pp. -Robert Wessing, Michaela Appel, Hajatan in Pekayon; Feste bei Heirat und Beschneidung in einem westjavanischen Dorf. München: Verlag des Staatlichen Museums für Völkerkunde, 2001, 160 pp. [Münchner Beiträge zur Völkerkunde, Beiheft I.] -Nicholas J. White, Matthew Jones, Conflict and confrontation in South East Asia, 1961-1965; Britain, the United States, Indonesia and the creation of Malaysia. Cambridge: Cambridge University Press, 2002, xv + 325 pp. -Edwin Wieringa, Peter Riddell, Islam and the Malay-Indonesian world; Transmission and responses. London: Hurst, 2001, xvii + 349 pp. -Edwin Wieringa, Stuart Robson ,Javanese-English dictionary. (With the assistance of Yacinta Kurniasih), Singapore: Periplus, 2002, 821 pp., Singgih Wibisono (eds) -Henk Schulte Nordholt, Edward Aspinall ,Local power and politics in Indonesia; Decentralisation and democracy. Sin gapore: Institute of Southeast Asian studies, 2003, 296 pp. [Indonesia Assessment.], Greg Fealy (eds) -Henke Schulte Nordholt, Coen Holtzappel ,Riding a tiger; Dilemmas of integration and decentralization in Indonesia. Amsterdam: Rozenburg, 2002, 320 pp., Martin Sanders, Milan Titus (eds) -Henk Schulte Nordholt, Minako Sakai, Beyond Jakarta; Regional autonomy and local society in Indonesia. Adelaide: Crawford House, 2002, xvi + 354 pp. -Henk Schulte Nordholt, Damien Kingsbury ,Autonomy and disintegration in Indonesia. London; RoutledgeCurzon, 2003, xiv + 219 pp., Harry Aveling (eds)
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Kua, Ee Heok. "Focus on psychiatry in Singapore." British Journal of Psychiatry 185, no. 1 (July 2004): 79–82. http://dx.doi.org/10.1192/bjp.185.1.79.
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This is an overview of the historical development of psychiatric services and the progress of psychiatric research and training in Singapore. With a population of 4 million, the city is evolving from developing to developed status and the concomitant social implications pose enormous challenges for mental health professionals. The demographic changes in recent years, with an ageing population and with more women (the traditional family caregivers) in the workforce, have had profound consequences for the delivery of health care services. In this cosmopolitan city of Chinese, Indians and Malays, myriad cultures and beliefs influence the health-seeking behaviour and the care of people with mental illness.
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Tan, B. Y. B., and P. P. Hsu. "Auricular pseudocyst in the tropics: a multi-racial Singapore experience." Journal of Laryngology & Otology 118, no. 3 (March 2004): 185–88. http://dx.doi.org/10.1258/002221504322927937.
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Endochondral pseudocyst of the auricle is an uncommon condition that affects predominantly Chinese males, with many reports studying this condition in homogenous Chinese populations. There have been few large-scale reports describing the features of this disease among the other Asian groups. In one of the largest series described to date, we report the epidemiological features, clinico-pathologic characteristics, and success of surgical treatment in 40 patients of different Asian groups presenting with pseudocyst of the auricle. Results showed a Chinese predominance (90 per cent), followed by Malays (five per cent) and Eurasians (five per cent). All had unilateral presentations apart from one patient. Most (55 per cent) presented within two weeks of auricular swelling. Few (10 per cent) had a history of trauma. The pseudocysts predominantly affected the concha (61 per cent). Surgery comprised excision of the anterior wall followed by local pressure application. Only 2.5 per cent had recurrence after surgery. These findings confirm earlier understood features of this disease while revealing some notable variations.
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MEHTA, KALYANI. "Cultural Scripts and the Social Integration of Older People." Ageing and Society 17, no. 3 (May 1997): 253–75. http://dx.doi.org/10.1017/s0144686x97006430.
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The cultural strategies for the social integration of older people within their families of the three major ethnic groups in Singapore, the Chinese, Malays and Indians, is the focus of this paper. Analysis of data reveals three underlying principles, namely, reciprocity, elders as transmitters of cultural heritage, and the social significance of auspicious days and festivals. Taken together, the principles and strategies indicate the salient impact of cultural factors on the subjective experience of old age.
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Lim, Cynthia Ciwei, Feng He, Jialiang Li, Yih Chung Tham, Chieh Suai Tan, Ching-Yu Cheng, Tien-Yin Wong, and Charumathi Sabanayagam. "Application of machine learning techniques to understand ethnic differences and risk factors for incident chronic kidney disease in Asians." BMJ Open Diabetes Research & Care 9, no. 2 (December 2021): e002364. http://dx.doi.org/10.1136/bmjdrc-2021-002364.
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IntroductionChronic kidney disease (CKD) is increasing in Asia, but there are sparse data on incident CKD among different ethnic groups. We aimed to describe the incidence and risk factors associated with CKD in the three major ethnic groups in Asia: Chinese, Malays and Indians.Research design and methodsProspective cohort study of 5580 general population participants age 40–80 years (2234 Chinese, 1474 Malays and 1872 Indians) who completed both baseline and 6-year follow-up visits. Incident CKD was defined as an estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m2 in those free of CKD at baseline.ResultsThe 6-year incidence of CKD was highest among Malays (10.0%), followed by Chinese (6.1%) and Indians (5.8%). Logistic regression showed that older age, diabetes, higher systolic blood pressure and lower eGFR were independently associated with incident CKD in all three ethnic groups, while hypertension and cardiovascular disease were independently associated with incident CKD only in Malays. The same factors were identified by machine learning approaches, gradient boosted machine and random forest to be the most important for incident CKD. Adjustment for clinical and socioeconomic factors reduced the excess incidence in Malays by 60% compared with Chinese but only 13% compared with Indians.ConclusionIncidence of CKD is high among the main Asian ethnic groups in Singapore, ranging between 6% and 10% over 6 years; differences were partially explained by clinical and socioeconomic factors.
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Tan, Amelia Li Min, Sarah R. Langley, Chee Fan Tan, Jin Fang Chai, Chin Meng Khoo, Melvin Khee-Shing Leow, Eric Yin Hao Khoo, et al. "Ethnicity-Specific Skeletal Muscle Transcriptional Signatures and Their Relevance to Insulin Resistance in Singapore." Journal of Clinical Endocrinology & Metabolism 104, no. 2 (August 21, 2018): 465–86. http://dx.doi.org/10.1210/jc.2018-00309.
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Abstract Context Insulin resistance (IR) and obesity differ among ethnic groups in Singapore, with the Malays more obese yet less IR than Asian-Indians. However, the molecular basis underlying these differences is not clear. Objective As the skeletal muscle (SM) is metabolically relevant to IR, we investigated molecular pathways in SM that are associated with ethnic differences in IR, obesity, and related traits. Design, Setting, and Main Outcome Measures We integrated transcriptomic, genomic, and phenotypic analyses in 156 healthy subjects representing three major ethnicities in the Singapore Adult Metabolism Study. Patients This study contains Chinese (n = 63), Malay (n = 51), and Asian-Indian (n = 42) men, aged 21 to 40 years, without systemic diseases. Results We found remarkable diversity in the SM transcriptome among the three ethnicities, with >8000 differentially expressed genes (40% of all genes expressed in SM). Comparison with blood transcriptome from a separate Singaporean cohort showed that >95% of SM expression differences among ethnicities were unique to SM. We identified a network of 46 genes that were specifically downregulated in Malays, suggesting dysregulation of components of cellular respiration in SM of Malay individuals. We also report 28 differentially expressed gene clusters, four of which were also enriched for genes that were found in genome-wide association studies of metabolic traits and disease and correlated with variation in IR, obesity, and related traits. Conclusion We identified extensive gene-expression changes in SM among the three Singaporean ethnicities and report specific genes and molecular pathways that might underpin and explain the differences in IR among these ethnic groups.
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Koh, Woon Puay, Mark B. Taylor, Kenneth Hughes, S. K. Chew, C. W. Fong, M. C. Phoon, K. L. Kang, and Vincent TK Chow. "Seroprevalence of IgG antibodies against Chlamydia pneumoniae in Chinese, Malays and Asian Indians in Singapore." International Journal of Epidemiology 31, no. 5 (October 2002): 1001–7. http://dx.doi.org/10.1093/ije/31.5.1001.
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Roxborogh, W. John. "Ministry to All the People? the Anglican Church in Malaysia." Studies in Church History 26 (1989): 423–31. http://dx.doi.org/10.1017/s0424208400011098.
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Since Independence in 1957 the Anglican Church in Malaysia has disavowed any inclination towards Malay evangelism in concert with a general climate of Christian opinion which sees such efforts as not only legally difficult, if not actually illegal following enactments in a number of states, but also politically impossible and threatening to the stability of the nation. This is the background to the claim in a Singapore Anglican history written in 1963 that ‘In the Peninsular… no missionary work among the Muslim Malays was considered and their faith always has been respected.’
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Kim, JongHo. "Between cooperation and survival." Social Transformations in Chinese Societies 14, no. 2 (September 3, 2018): 79–96. http://dx.doi.org/10.1108/stics-04-2018-0007.
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Purpose The purpose of this paper is to investigate the survival capability of Chaoshan people in the maritime world of the South China Sea amidst the changing monetary systems of the rival empires and political regimes from 1939 to 1945. It particularly focuses on overseas Chinese remittance business in Shantou under the Japanese rule. Local societies in coastal China and overseas Chinese communities in Southeast Asia experienced severe hardships due to the Sino-Japanese War, the Pacific War and the Chinese Civil War. As fighting among the rival empires and regimes intensified, Chinese migrant communities straddling between Southeast Asia and South China had to negotiate and adapt to survive these crises, regardless of whether they were government-affiliated or local autonomous subjects. Design/methodology/approach This research draws on archival materials to investigate the reactions of Chinese migrant communities in Chaoshan region in times of war and regime change. How did local maritime societies and overseas Chinese adapt to the harsh realities of the wartime? How did the Japanese Empire use Wang Jingwei’s puppet government in Nanjing to control the Chaoshan remittance network? How did the remittance network shift its operational structure in face of a wartime crisis? Findings Faced with the wartime crisis and the Japanese occupation, Chaoshan communities used a variety of survival strategies to protect and maintain the overseas Chinese remittance business. In dealing with remittances from Singapore, British Malay and Indonesia, they cooperated with the Japanese military authority and its puppet government to maximize the autonomy of their business operation in the Japanese-controlled East Asian Co-prosperity Sphere. On the other hand, to secure the flow of remittances from French Indochina and Thailand, the indirectly controlled territories in the Japanese Empire, Chaoshan merchants sought an alternative path of delivering remittances, known as the Dongxing route, to bypass the Japanese ban on private remittances from these two regions. Research limitations/implications It would be a better research if more resources, including remittance receipts and documents during the Japanese occupation, could be found and used to show more detailed features of Chaoshan local society. Originality/value This research is the first one to investigate the contradictory features of local Chaoshan society during the Japanese occupation, an under-explored subject in the Chinese historiography.
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Tan, Chay-Hoon, Peck-Chiam Chiang, Li-Ling Ng, and Kuan-Tzee Chee. "Oculogyric Spasm in Asian Psychiatric In-patients on Maintenance Medication." British Journal of Psychiatry 165, no. 3 (September 1994): 381–83. http://dx.doi.org/10.1192/bjp.165.3.381.
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BackgroundThe objective was to investigate the occurrence and characteristics of oculogyric spasm (OGS) in an Asian country.MethodAll 2035 Asian (88% Chinese, 7% Malays and 5% Indonesians) psychiatric in-patients in the state psychiatric hospital in Singapore were surveyed for occurrence of oculogyric spasm (OGS) over a two-month period.ResultsThirty-four patients (1.7%) developed OGS (53% male and 47% female). All the 34 patients had been on maintenance antipsychotic drugs for more than five months. Eighteen patients had recurrent attacks. The mean chlorpromazine equivalent daily dose for those patients with recurrent OGS was 511 mg. This was significantly higher (P < 0.05) than the 277 mg daily dose received by those without recurrent OGS. Most (68%) of the attacks occurred between 1400–2000 h suggesting that OGS may have a diurnal variation.ConclusionsGS presenting as tardive dystonia may be due to a relative increase in cholinergic activity.
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Dai, Wei, Yih-Chung Tham, Miao-Li Chee, Shivani Majithia, Nicholas Y. Q. Tan, Kah-Hie Wong, Kumari Neelam, et al. "Normative pattern and determinants of outer retinal thickness in an Asian population: the Singapore Epidemiology of Eye Diseases Study." British Journal of Ophthalmology 103, no. 10 (January 18, 2019): 1406–12. http://dx.doi.org/10.1136/bjophthalmol-2018-313159.
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Background/aimsTo evaluate the distribution and determinants of outer retinal thickness in eyes without retinal diseases, using spectral-domain optical coherence tomography (SD-OCT).MethodsParticipants were recruited from the Singapore Epidemiology of Eye Diseases Study, a population-based study among Chinese, Malays and Indians in Singapore. A total of 5333 participants underwent SD-OCT imaging in which a 6×6 mm2 measurement area centred at the fovea. Outer retinal thickness was defined as the distance from the outer plexiform layer to the retinal pigment epithelium layer boundary.Results7444 eyes from 4454 participants were included in final analysis. Of them, mean age was 58.4 years (SD 8.3), and 2294 (51.5%) were women. Women (121.0±8.1 µm) had thinner average outer retinal thickness than men (125.6±8.2 µm) (p<0.001). Malays (121.4±8.7 µm) had thinner average outer retinal thickness than Indians (124.3±8.6 µm) and Chinese (123.7±7.9 µm) (both p<0.001). In multivariable models, thinner average outer retinal thickness was associated with older age (per decade, β=−1.02, p<0.001), hypertension (β=−0.59, p=0.029), diabetes (β=−0.73, p=0.013), chronic kidney disease (β=−1.25, p=0.017), longer axial length (per mm, β=−0.76, p<0.001), flatter corneal curvature (per mm, β=−2.00, p<0.001) and higher signal strength (β=−1.46, p<0.001).ConclusionIn this large sample of Asian population, we provided normative SD-OCT data on outer retinal thickness in eyes without retinal diseases. Women had thinner outer retina than men. For the first time, these findings provide fundamental knowledge on normative profile of outer retinal thickness in Asians.
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Wong, Kah Hie, Yih-Chung Tham, Duc Quang Nguyen, Wei Dai, Nicholas Y. Q. Tan, Shivani Mathijia, Kumari Neelam, et al. "Racial differences and determinants of macular thickness profiles in multiethnic Asian population: the Singapore Epidemiology of Eye Diseases Study." British Journal of Ophthalmology 103, no. 7 (August 10, 2018): 894–99. http://dx.doi.org/10.1136/bjophthalmol-2018-312447.
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AimTo evaluate racial differences, and ocular and systemic determinants of macular thickness (MT), measured by spectral-domain optical coherence tomography (SD-OCT) in a normal multiethnic Asian population.MethodMT was measured from a 6×6 mm2 central macular area using the Cirrus high-definition OCT (HD-OCT) (Carl Zeiss Meditec, Dublin, CA). The associations between ocular and systemic factors with MT were evaluated using linear regression analyses with generalised estimating equation models to account for intereye correlation.Results7447 healthy eyes (2577 Chinese, 2072 Malays and 2798 Indians) of 4510 subjects were included. Multivariable analysis showed that older age (per decade, β=−4.39), female gender (β=−5.74), diabetes (β=−1.10), chronic kidney disease (CKD) (β=−3.21), longer axial length (per mm, β=−2.34), flatter corneal curvature (per mm, β=−1.79) and presence of cataract (β=−0.94) were associated with thinner overall average MT (OMT) (all p≤0.026); higher total cholesterol (β=0.44; p=0.010) was associated with thicker OMT. All these factors were also associated with thinner central subfield MT (CSMT) (all p≤0.001), except for cataract, total cholesterol and CKD. Meanwhile, longer axial length (β=2.51; p<0.001) was associated with thicker CSMT. OMT (mean±SD) was thickest in Chinese (279.9±12.5 µm), followed by Malays (276.5±13.7 µm) and Indians (272.4±13.1 µm), with p≤0.003 for all interethnic comparisons. Similar trend was observed for CSMT.ConclusionThere are interethnic differences in MT profile among Asians, particularly between Chinese and Indians. Ocular and systemic factors affect MT measurements as well. This Asian-specific information may be incorporated into existing clinical interpretation of macular OCT scans to aid in improving the diagnostic and monitoring accuracy of macular diseases among Asians.
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KITLV, Redactie. "Book Reviews." Bijdragen tot de taal-, land- en volkenkunde / Journal of the Humanities and Social Sciences of Southeast Asia 159, no. 1 (2003): 189–244. http://dx.doi.org/10.1163/22134379-90003756.
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-Timothy Barnard, J.M. Gullick, A history of Selangor (1766-1939). Kuala Lumpur: Malaysian branch of the Royal Asiatic Society, 1989, vi + 220 pp. [MBRAS Monograph 28.] -Okke Braadbaart, Michael L. Ross, Timber booms and institutional breakdown in Southeast Asia. Cambridge: Cambridge University Press, 2001, xvi + 237 pp. -H.J.M. Claessen, Patrick Vinton Kirch ,Hawaiki, ancestral Polynesia; An essay in historical anthropology. Cambridge: Cambridge University Press, 2001, xvii + 375 pp., Roger C. Green (eds) -Harold Crouch, R.E. Elson, Suharto; A political biography. Cambridge: Cambridge University Press, 2001, xix + 389 pp. -Kees van Dijk, H.W. Arndt ,Southeast Asia's economic crisis; Origins, lessons, and the way forward. Singapore: Institute of Southeast Asian studies, 1999, ix + 182 pp., Hal Hill (eds) -Kees van Dijk, Sebastiaan Pompe, De Indonesische algemene verkiezingen 1999. Leiden: KITLV Uitgeverij, 1999, 290 pp. -David van Duuren, Albert G. van Zonneveld, Traditional weapons of the Indonesian archipelago. Leiden: Zwartenkot art books, 2001, 160 pp. -Peter van Eeuwijk, Christian Ph. Josef Lehner, Die Heiler von Samoa. O Le Fofo; Monographie über die Heiler und die Naturheilmethoden in West-Samoa. Frankfurt am Main: Lang, 1999, 234 pp. [Mensch und Gesellschaft 4.] -Hans Hägerdal, Frans Hüsken ,Reading Asia; New research of Asian studies. Richmond: Curzon, 2001, xvi + 338 pp., Dick van der Meij (eds) -Terence E. Hays, Jelle Miedema ,Perspectives on the Bird's head of Irian Jaya, Indonesia; Proceedings of the conference, Leiden, 13-17 October 1997. Amsterdam: Rodopi, 1998, xiii + 982 pp. (editors with the assistance of Connie Baak), Cecilia Odé, Rien A.C. Dam (eds) -Menno Hekker, Peter Metcalf, They lie, we lie; Getting on with anthropology. London: Routledge, 2002, ix + 155 pp. -David Henley, Foong Kin, Social and behavioural aspects of malaria control; A study among the Murut of Sabah. Phillips, Maine: Borneo research council , 2000, xx + 241 pp. [BRC Occasional paper 1.] -Gerrit Knaap, Frédéric Mantienne, Les relations politiques et commerciales entre la France et la péninsule Indochinoise (XVIIe siècle). Paris: Les Indes Savantes, 2001, 395 pp. -Uli Kozok, James T. Collins, Malay, world language; A short history. Second edition. Kuala Lumpur: Dewan bahasa dan pustaka, 2000, xii + 101 pp. -Nathan Porath, Hoe Ban Seng, Semalai communities at Tasek Bera; A study of the structure of an Orang Asli society. [A.S. Baer and R. Gianno, eds.] Subang Jaya, Malaysia: Centre for Orang Asli concerns, 2001, xii + 191 pp. -Nathan Porath, Narifumi Maeda Tachimoto, The Orang Hulu; A report on Malaysian orang asli in the 1960's. [A.S. Baer, ed.] Subang Jaya, Malaysia: Centre for Orang Asli concerns, 2001, xiv + 104 pp. -Martin Ramstedt, Raechelle Rubinstein ,Staying local in the global village; Bali in the twentieth century. Honolulu: University of Hawai'i Press, 1999, xiii + 353 pp., Linda H. Connor (eds) -Albert M. Salamanca, Thomas R. Leinbach ,Southeast Asia: diversity and development. Upper Saddle River, NJ: Prentice Hall, 2000, xiii + 594 pp., Richard Ulack (eds) -Heather Sutherland, Muhamad Hisyam, Caught between three fires; The Javanese pangulu under the Dutch colonial administration, 1882-1942. Jakarta: Indonesian-Netherlands cooperation in Islamic studies (INIS), 2001, 331 pp. [Seri INIS 37.] -Heather Sutherland, Roderich Ptak, China's seaborne trade with South and Southeast Asia (1200-1750). Aldershot: Ashgate, 1999, xii + 366 pp. [Variorum collected studies series CS638.] -Sikko Visscher, M. Jocelyn Armstrong ,Chinese populations in contemporary Southeast Asian societies. Richmond, Surrey: Curzon, 2001, xiv + 268 pp., R. Warwick Armstrong, Kent Mulliner (eds) -Reed Wadley, Clifford Sather, Seeds of play, words of power; An ethnographic study of Iban shamanic chants. Kuching: Tun Jugah foundation, 2001, xvii + 753 pp. [Borneo classic series 5.] -Boris Wastiau, Raymond Corbey, Tribal art traffic; A chronicle of taste, trade and desire in colonial and post-colonial times. Amsterdam: Royal Tropical Institute, 2000, 255 pp. -Willem G. Wolters, Wong Kwok-Chu, The Chinese in the Philippine economy, 1898-1941. Quezon city: Ateneo de Manila University Press, 1999, xvi + 279 pp. -Volker Grabowsky, Stephen Mansfield, Lao hill tribes; Traditions and patterns of existence. New York: Oxford University Press, 2000, vii + 91 pp. -Volker Grabowsky, Jean Michaud, Turbulent times and enduring people; Mountain minorities in the South-East Asian Massif. Richmond, Surrey: Curzon, 2000, xiii + 255 pp. -Volker Grabowsky, Jane Richard Hanks ,Tribes of the northern Thailand frontier. (with a foreword by Nicola Tannenbaum), New Haven, CT: Yale University Southeast Asia studies, 2001, xlviii + 319 pp. [Monograph 51.], Lucien Mason Hanks (eds)
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Choo, Carol C., Peter K. H. Chew, and Roger C. Ho. "Controlling Noncommunicable Diseases in Transitional Economies: Mental Illness in Suicide Attempters in Singapore—An Exploratory Analysis." BioMed Research International 2019 (January 15, 2019): 1–8. http://dx.doi.org/10.1155/2019/4652846.
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Background. Mental illness is a pertinent risk factor related to suicide. However, research indicates there might be underdiagnosis of mental illness in Asian suicide attempters; this phenomenon is concerning. This study explored prediction of diagnosis of mental illness in suicide attempters in Singapore using available variables. Methods. Three years of medical records related to suicide attempters (N = 462) who were admitted to the emergency department of a large teaching hospital in Singapore were subjected to analysis. Of the sample, 25% were diagnosed with mental illness; 70.6% were females and 29.4% were males; 62.6% were Chinese, 15.4% Malays, and 16.0% Indians. Their age ranged from 12 to 86 (M = 29.37, SD = 12.89). All available variables were subjected to regression analyses. Findings. The full model was significant in predicting cases with and without diagnosis of mental illness and accurately classified 79% of suicide attempters with diagnosis of mental illness. Conclusions. The findings were discussed in regard to clinical implications in diagnosis and primary prevention.
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Phan, Thao P., Leontine Alkema, E. Shyong Tai, Kristin H. X. Tan, Qian Yang, Wei-Yen Lim, Yik Ying Teo, et al. "Forecasting the burden of type 2 diabetes in Singapore using a demographic epidemiological model of Singapore." BMJ Open Diabetes Research & Care 2, no. 1 (June 2014): e000012. http://dx.doi.org/10.1136/bmjdrc-2013-000012.
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ObjectiveSingapore is a microcosm of Asia as a whole, and its rapidly ageing, increasingly sedentary population heralds the chronic health problems other Asian countries are starting to face and will likely face in the decades ahead. Forecasting the changing burden of chronic diseases such as type 2 diabetes in Singapore is vital to plan the resources needed and motivate preventive efforts.MethodsThis paper describes an individual-level simulation model that uses evidence synthesis from multiple data streams—national statistics, national health surveys, and four cohort studies, and known risk factors—aging, obesity, ethnicity, and genetics—to forecast the prevalence of type 2 diabetes in Singapore. This comprises submodels for mortality, fertility, migration, body mass index trajectories, genetics, and workforce participation, parameterized using Markov chain Monte Carlo methods, and permits forecasts by ethnicity and employment status.ResultsWe forecast that the obesity prevalence will quadruple from 4.3% in 1990 to 15.9% in 2050, while the prevalence of type 2 diabetes (diagnosed and undiagnosed) among Singapore adults aged 18–69 will double from 7.3% in 1990 to 15% in 2050, that ethnic Indians and Malays will bear a disproportionate burden compared with the Chinese majority, and that the number of patients with diabetes in the workforce will grow markedly.ConclusionsIf the recent rise in obesity prevalence continues, the lifetime risk of type 2 diabetes in Singapore will be one in two by 2050 with concomitant implications for greater healthcare expenditure, productivity losses, and the targeting of health promotion programmes.
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Chong, K. T., W. F. Ho, S. H. Koo, Peter Thompson, and Edmund J. D. Lee. "Distribution of the Fc?RIIIa 176 F/V polymorphism amongst healthy Chinese, Malays and Asian Indians in Singapore." British Journal of Clinical Pharmacology 63, no. 3 (March 2007): 328–32. http://dx.doi.org/10.1111/j.1365-2125.2006.02771.x.
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Man, Ryan E. K., Anuradha R. Veerappan, Shu-Pei Tan, Eva K. Fenwick, Charumathi Sabanayagam, Jacqueline Chua, Yuan-Yuh Leong, et al. "Incidence and risk factors of symptomatic dry eye disease in Asian Malays from the Singapore Malay Eye Study." Ocular Surface 15, no. 4 (October 2017): 742–48. http://dx.doi.org/10.1016/j.jtos.2017.04.004.
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Shamsul, A. B. "Malays in Singapore: Culture, Economy, and Ideology. By Tania Li. East Asian Social Science Monographs. Singapore: Oxford University Press, 1989. xviii, 206 pp. $19.95." Journal of Asian Studies 49, no. 3 (August 1990): 706–7. http://dx.doi.org/10.2307/2057837.
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Shamsul, A. B. "Malays in Singapore: Culture, Economy, and Ideology. By Tania Li. East Asian Social Science Monographs. Singapore: Oxford University Press, 1989. xviii, 206 pp. $19.95." Journal of Asian Studies 49, no. 03 (August 1990): 706–7. http://dx.doi.org/10.1017/s0021911800052141.
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ANG, L., S. MA, J. CUTTER, S. CHEW, C. TAN, and E. TAI. "The metabolic syndrome in Chinese, Malays and Asian IndiansFactor analysis of data from the 1998 Singapore National Health Survey." Diabetes Research and Clinical Practice 67, no. 1 (January 2005): 53–62. http://dx.doi.org/10.1016/s0168-8227(04)00137-8.
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Yeo, K. K., B. C. Tai, D. Heng, J. M. J. Lee, S. Ma, K. Hughes, S. K. Chew, K. S. Chia, and E. S. Tai. "Ethnicity modifies the association between diabetes mellitus and ischaemic heart disease in Chinese, Malays and Asian Indians living in Singapore." Diabetologia 49, no. 12 (October 5, 2006): 2866–73. http://dx.doi.org/10.1007/s00125-006-0469-z.
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Khoo, Chin Meng, Maudrene LS Tan, Yi Wu, Daniel CH Wai, Tavintharan Subramaniam, E. Shyong Tai, and Jeannette Lee. "Prevalence and Control of Hypercholesterolaemia as Defi ned by NCEP-ATPIII Guidelines and Predictors of LDL-C Goal Attainment in a Multi-Ethnic Asian Population." Annals of the Academy of Medicine, Singapore 42, no. 8 (August 15, 2013): 379–87. http://dx.doi.org/10.47102/annals-acadmedsg.v42n8p379.
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Introduction: Few studies in Asia have assessed the burden of hypercholesterolaemia based on the global cardiovascular risk assessment. This study determines the burden of hypercholesterolaemia in an Asian population based on the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATPIII) guidelines, and examines predictors of low-density lipoprotein cholestrol (LDL-C) goal attainment. Materials and Methods: Five thousand and eighty-three Chinese, Malays and Asian-Indians living in Singapore were assigned to coronary heart disease (CHD)-risk category based on the NCEP-ATPIII guidelines. Awareness, treatment and control of hypercholesterolaemia based on risk-specific LDL-C goal were determined, including the use of lipid-lowering therapy (LLT). Cox-regression models were used to identify predictors of LDL-C above goal among those who were aware and unaware of hypercholesterolaemia. Results: One thousand fi ve hundred and sixty-eight (30.8%) participants were aware of hypercholesterolaemia and 877 (17.3%) were newly diagnosed (unaware). For those who were aware, 39.3% participants received LLT. Among those with 2 risk factors, only 59.7% attained LDL-C goal. The majority of them were taking statin monotherapy, and the median dose of statins was similar across all CHD risk categories. Among participants with 2 risk factors and not receiving LLT, 34.1% would require LLT. Malays or Asian-Indians, higher CHD risk category, increasing body mass index (BMI), current smoking and lower education status were associated with higher risk of LDL-C above goal. Being on LLT reduced the risk of having LDL-C above goal. Conclusion: The burden of hypercholesterolaemia is high in this multi-ethnic population especially those in the higher CHD risk categories, and might be partly contributed by inadequate titration of statins therapy. Raising awareness of hypercholesterolaemia, appropriate LLT initiation and titration, weight management and smoking cessation may improve LDL-C goal attainment in this population. Key words: Asians, Awareness, Cholesterol, Goal attainment, Prevalence ratio, Treatment
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Beek, Walter E. A., Ph Quarles Ufford, J. H. Beer, H. F. Tillema, Chris Beet, Richard Price, G. Bos, et al. "Book Reviews." Bijdragen tot de taal-, land- en volkenkunde / Journal of the Humanities and Social Sciences of Southeast Asia 147, no. 2 (1991): 339–71. http://dx.doi.org/10.1163/22134379-90003195.
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- Walter E.A. van Beek, Ph. Quarles van Ufford, Religion and development; Towards an integrated approach, Amsterdam: Free University Press, 1988., M. Schoffeleers (eds.) - J.H. de Beer, H.F. Tillema, A journey among the people of Central Borneo in word and picture, edited and with an introduction by Victor T. King, Singapore: Oxford University Press, 1989. 268 pp. - Chris de Beet, Richard Price, Alabi’s world. Baltimore and London: The John Hopkins University Press, 1990. xx + 444 pp. - G. Bos, Neil L. Whitehead, Lords of the tiger spirit; A history of the Caribs in colonial Venezuela and Guyana 1498-1820, Koninklijk Instituut voor Taal-, Land- en Volkenkunde, Leiden. Caribbean series 10, Dordrecht/Providence: Foris publications, 1988, 250 pp., maps, ills., index, bibl. - James R. Brandon, Richard Schechner, By means of performance: Intercultural studies of theatre and ritual. Cambridge and New York: Cambridge University Press, 1990. 190 + xv pp + ills. Paperback, Willa Appel (eds.) - J.N. Breetvelt, Matti Kamppinen, Cognitive systems and cultural models of illness, Helsinki: Academia Scientiarum Fennica, FF Comunications No. 244, 1989. 152 pp. - Martin van Bruinessen, Mark R. Woodward, Islam in Java: Normative piety and mysticism in the Sultanate of Yogykarta. Tucson: The University of Arizona Press, 1989, 311 pp, index. - J.G. de Casparis, Pauline Lunsingh Scheurleer, Ancient Indonesian Bronzes; A catalogue of the exhibition in the Rijksmuseum Amsterdam with a general introduction. Leiden: Brill, 1988. IX + 179 pp., richly illustrated., Marijke J. Klokke (eds.) - Hugo Fernandes Mendes, Luc Alofs, Ken ta Arubiano? Sociale intergartie en natievorming op Aruba, Leiden: Caraïbische Afdeling, Koninklijk Instituut voor Taal-, Land- en Volkenkunde, 1990. ix + 232 pp., Leontine Merkies (eds.) - Rene van der Haar, I. Eibl-Eibesfeldt, Kommunikation bei den Eipo; Eine humanethologische bestandsaufnahme, Berlin: Dietrich Reimer Verlag, 1989., W. Schiefenhövel, V. Heeschen (eds.) - M. Heins, K. Epskamp, Populaire cultuur op de planken; Theater, communicatie en Derde Wereld. Den Haag: CSEO Paperback no. 6, 1989., R. van ‘t Rood (eds.) - Huub de Jonge, Thomas Höllman, Tabak in Südostasien; Ein ethnographisch-historischer Überblick, Berlin: Dietrich Reimer Verlag, 1988. Bibl., tab., ill., append., 233 pp., - Nico de Jonge, Jowa Imre Kis-Jovak, Banua Toraja; Changing patterns in architecture and symbolism among the Sa’dan Toraja, Sulawesi - Indonesia. Amsterdam: Royal Tropical Institute, 1988, 135 pp., Hetty Nooy-Palm, Reimar Schefold (eds.) - L. Laeyendecker, Jeffrey C. Alexander, Durkheimian sociology: Cultural analysis, Cambridge etc.: Cambridge University Press, 1988, 227 pp. - Thomas Lindblad, W.A.I.M. Segers, Changing economy in Indonesia. A selection of statistical source material from the early 19th century up to 1940. Vol 8. Manufacturing industry 1870-1942. Amsterdam, 1987. 224 pp. - C.L.J. van der Meer, Akira Suehiro, Capital accumulation in Thailand 1855-1985, The Centre for East Asian Cultural Studies, Tokyo, 1989. xviii + 427 pp., maps, figs, app. - Niels Mulder, Nancy Eberhardt, Gender, power, and the construction of the moral order: Studies from the Thai periphery, University of Wisconsin-Madison, Centre for Southeast Asian Studies, Monograph 4, 1988. viii + 100 pages, softcover. - Gert Oostindie, Jan Nederveen Pieterse, Wit over zwart; Beelden van Afrika en zwarten in de Westerse populaire cultuur. Amsterdam: Koninklijk Insituut voor de Tropen, 1990. 259 pp., ills. - Gert Oostindie, Raymond Corbey, Wildheid en beschaving; De Europese verbeelding van Afrika. Baarn: Ambo, 1989. 182 pp., ills. - R. Ploeg, Inga Clendinnen, Ambivalent conquests; Maya and Spaniard in Yucatan, 1517-1570, Cambridge: Cambridge University Press, 1988. xi + 243 pp. - S.O. Robson, Luigi Santa Maria, Papers from the III European Colloquium on Malay and Indonesian Studies. Istituto Universitario Orientale, Dipartimento di Studi Asiatici (Series Minor XXX). Naples 1988. 276 pp., Faizah Soenoto Rivai, Antonio Sorrentino (eds.) - R.A. Römer, J.M.R. Schrils, Een democratie in gevaar; Een verslag van de situatie op Curaçao tot 1987. Van Gorcum, Assen: 1990. xii + 292 blz. - Patricia D. Rueb, Han ten Brummelhuis, Merchant, courtier and diplomat: A history of the contacts between the Netherlands and Thailand, Lochem, 1987, 116 pp., illustrated.
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AshaRani, PV, Lau Jue Hua, Kumarasan Roystonn, Fiona Devi Siva Kumar, Wang Peizhi, Soo Ying Jie, Saleha Shafie, et al. "Readiness and Acceptance of eHealth Services for Diabetes Care in the General Population: Cross-sectional Study." Journal of Medical Internet Research 23, no. 9 (September 2, 2021): e26881. http://dx.doi.org/10.2196/26881.
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Background Diabetes management is a growing health care challenge worldwide. eHealth can revolutionize diabetes care, the success of which depends on end user acceptance. Objective This study aims to understand the readiness and acceptance of eHealth services for diabetes care among the general population, perceived advantages and disadvantages of eHealth, and factors associated with eHealth readiness and acceptance in a multiethnic Asian country. Methods In this cross-sectional epidemiological study, participants (N=2895) were selected through disproportionate stratified random sampling from a population registry. Citizens or permanent residents of Singapore aged >18 years were recruited. The data were captured through computer-assisted personal interviews. An eHealth questionnaire was administered in one of four local languages (English, Chinese, Malay, or Tamil), as preferred by the participant. Bivariate chi-square analyses were performed to compare the sociodemographic characteristics and perception of advantages and disadvantages of eHealth services between the diabetes and nondiabetes groups. Multivariable logistic regression models were used to determine factors associated with eHealth readiness and acceptance. All analyses were weighted using survey weights to account for the complex survey design. Results The sample comprised participants with (n=436) and without (n=2459) diabetes. eHealth readiness was low, with 47.3% of the overall sample and 75.7% of the diabetes group endorsing that they were not ready for eHealth (P<.001). The most acceptable eHealth service overall was booking appointments (67.4%). There was a significantly higher preference in the diabetes group for face-to-face sessions for consultation with the clinician (nondiabetes: 83.5% vs diabetes: 92.6%; P<.001), receiving prescriptions (61.9% vs 79.3%; P<.001), referrals to other doctors (51.4% vs 72.2%; P<.001), and receiving health information (34% vs 63.4%; P<.001). The majority of both groups felt that eHealth requires users to be computer literate (90.5% vs 94.3%), does not build clinician-patient rapport compared with face-to-face sessions (77.5% vs 81%), and might not be credible (56.8% vs 64.2%; P=.03). Age (≥35 years), ethnicity (Indian), and lower education status had lower odds of eHealth readiness. Age (≥35 years), ethnicity (Indian), lower education status (primary school), BMI (being underweight), and marital status (being single) were associated with a lower likelihood of eHealth acceptance. Among only those with diabetes, a longer duration of diabetes (4-18 years), higher education (degree or above), and younger age (23-49 years) were associated with eHealth readiness, whereas younger age and income (SGD 2000-3999 [US $1481-$2961]) were associated with acceptance. Conclusions Overall, an unfavorable attitude toward eHealth was observed, with a significantly higher number of participants with diabetes reporting their unwillingness to use these services for their diabetes care. Sociodemographic factors associated with acceptance and readiness identified a group of people who were unlikely to accept the technology and thus need to be targeted for eHealth literacy programs to avoid health care disparity. International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2020-037125
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Beng, Arthur KL, Chee Weng Fong, Eugene Shum, Cynthia R. Goh, Kee Tai Goh, and Suok Kai Chew. "Where the Elderly Die: The Influence of Socio-Demographic Factors and Cause of Death on People Dying at Home." Annals of the Academy of Medicine, Singapore 38, no. 8 (August 15, 2009): 676–83. http://dx.doi.org/10.47102/annals-acadmedsg.v38n8p676.
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Introduction: The place of death of the elderly has implications on the overall healthcare delivery system. The aim of this study is to describe where deaths of elderly occur in Singapore and to determine the association of socio-demographic characteristics and the causes of death on dying at home. Materials and Methods: Data of 10,399 Singapore resident decedents aged 65 years and above in 2006 were obtained from the national Registry of Births and Deaths. Distributions of socio-demographic characteristics and causes of death by place of death were analysed, and associations between socio-demographic characteristics and home death for major causes of death were assessed by logistic regression models controlling for age, gender and ethnic group. Results: Most elderly deaths occurred in hospitals (57%), followed by deaths at home (31%). The proportion of deaths at home increased with age while deaths in hospital declined with age. Significantly more elderly women died at home compared to men. Malay elderly had the highest proportion of home deaths (49%), and the lowest proportion of hospital deaths (47%). Elderly persons who died from stroke were most likely to die at home [odds ratio (OR) 2.8, 95% confidence interval (CI), 2.3-3.3] while those who died from lung and respiratory system diseases were less likely to die at home (OR, 0.7; 95% CI, 0.6-0.8). Conclusion: Elderly people in Singapore die mainly in hospitals. About a third of them die at home. The proportion of decedents dying at home increased with age. Home deaths among the elderly are most likely in those aged 85 years and above, females, Malays, and those who die of stroke. Key words: Ethnicity, Gender, Hospital, Place of death, Singapore
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Chen, Cynthia, Xueying Guo, Hwee Lin Wee, and Kelvin Bryan Tan. "Racial disparities in hospitalization expenditures of older adults in Singapore." Innovation in Aging 5, Supplement_1 (December 1, 2021): 949. http://dx.doi.org/10.1093/geroni/igab046.3428.
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Abstract The World Population Prospects 2019 reports that the proportion of people who aged 65 and above takes up 9 per cent globally in 2019, reaching up to 16 per cent by 2050. Asia has the fastest rise: from 1 in 9 people aged 65 and above to 1 in 4 in 2050. Rapid growth in older adults has strong implications for diseases and healthcare expenditure. For Singapore, the transition from ‘ageing society’ (7% seniors) in 1999 to ‘super-aged society’ (20% seniors) in 2026 is projected to take 27 years, much faster than Japan’s 36 years. We used the Singapore Multi-Ethnic Cohort (MEC) of 14,465 subjects aged 21 to 94, and the Future Elderly Model (FEM) microsimulation model to project disease burden and hospitalization expenditures to 2050. We found that Chinese females had the highest life expectancy of 86.0 years, followed by Indian and Malay females with 80.4 and 75.6 years respectively. In all racial groups, women lived longer than men by 5-7 years. Cumulative hospitalization expenditures of older adults aged 51+ was US$69,500 for Chinese, US$67,600 for Malays and US$86,100 for Indians; US$71,200 for males and US$70,700 for females. The increased hospitalization spending for all three ethnic groups was due to the underlying manifestation of chronic diseases, including diabetes, hypertension, heart disease and stroke. Variations in environmental risk factors such as diet, cigarette smoking and physical activity across ethnic groups may contribute to racial differences in chronic diseases and disability. Therefore, targeted interventions are needed to reduce racial disparities.
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Choo, Christine. "The Impact of Asian - Aboriginal Australian Contacts in Northern Australia." Asian and Pacific Migration Journal 3, no. 2-3 (June 1994): 295–310. http://dx.doi.org/10.1177/011719689400300218.
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The long history of Asian contact with Australian Aborigines began with the early links with seafarers, Makassan trepang gatherers and even Chinese contact, which occurred in northern Australia. Later contact through the pearling industry in the Northern Territory and Kimberley, Western Australia, involved Filipinos (Manilamen), Malays, Indonesians, Chinese and Japanese. Europeans on the coastal areas of northern Australia depended on the work of indentured Asians and local Aborigines for the development and success of these industries. The birth of the Australian Federation also marked the beginning of the “White Australia Policy” designed to keep non-Europeans from settling in Australia. The presence of Asians in the north had a significant impact on state legislation controlling Aborigines in Western Australia in the first half of the 20th century, with implications to the present. Oral and archival evidence bears testimony to the brutality with which this legislation was pursued and its impact on the lives of Aboriginal people.
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Karugia, John Njenga. "Connective Afrasian Sea memories: Transregional imaginaries, memory politics, and complexities of national “belonging”." Memory Studies 11, no. 3 (July 2018): 328–41. http://dx.doi.org/10.1177/1750698018771864.
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This article focuses on memories of South Asian Kenyans and their claims to full citizenship as Kenyans through acknowledgment of their role in Kenya’s past. By focusing on memory claims and memory practices of the South Asian diaspora, it unravels complexities and tensions of scale (local, national, transregional, transnational). It adds new insights into complexities of national “belonging” in an entangled world by demonstrating how people operate as citizens within states and how memory politics are played out at nation-state level and how, simultaneously, the lived experience, affiliations, and shared memories of particular groups transcend the national scale or operate at a scale below it. This article’s seven sections focus on connected histories (a brief history of the Indian Ocean), connective memory research (explicating multi-sited methodology and using brief examples of Cape Malays and Siddis), and connective memory practice addressing memory practices in the South Asian diaspora in Kenya that consciously engage with entangled histories.
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Thompson, Mark R., and Stephan Ortmann. "Mis-modelling Singapore: China's Challenges in Learning from the City-state." China Quarterly 236 (May 28, 2018): 1014–32. http://dx.doi.org/10.1017/s0305741018000498.
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AbstractSingapore exemplifies what China strives for: resilient authoritarianism despite advanced development with good governance and political stability. But lessons Chinese observers draw from the Southeast Asian city-state have been selective, leading to misconceptions. We focus on three key areas in which Chinese observers claim inspiration from the “Singapore model.” The first, Singapore's “Asian values” discourse which is seen to provide an ideological defense of non-democratic rule, overestimates the impact of top-down conservative culturalism while underestimating the difficulty of propagating Confucianism in officially still communist China. Second, while elections in Singapore are seen to bolster the ruling People Action Party's legitimacy in Singapore, they have been implemented to such a limited extent in China that any legitimation gain is unlikely. Finally, the chief lesson derived from Singapore's fight against corruption, the importance of a committed leadership, ignores the importance of the rule of law in Singapore, a legacy of colonialism very different from China's post-totalitarian trajectory.
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Tan, Jonathan T., Daniel P. K. Ng, Siti Nurbaya, Sandra Ye, Xiu Li Lim, Helen Leong, Lin Tze Seet, et al. "Polymorphisms Identified through Genome-Wide Association Studies and Their Associations with Type 2 Diabetes in Chinese, Malays, and Asian-Indians in Singapore." Endocrinology 150, no. 12 (December 1, 2009): 5649. http://dx.doi.org/10.1210/endo.150.12.9999.
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Tan, Jonathan T., Daniel P. K. Ng, Siti Nurbaya, Sandra Ye, Xiu Li Lim, Helen Leong, Lin Tze Seet, et al. "Polymorphisms Identified through Genome-Wide Association Studies and Their Associations with Type 2 Diabetes in Chinese, Malays, and Asian-Indians in Singapore." Endocrine Reviews 30, no. 7 (December 1, 2009): 926. http://dx.doi.org/10.1210/edrv.30.7.9999.
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Tan, Jonathan T., Daniel P. K. Ng, Siti Nurbaya, Sandra Ye, Xiu Li Lim, Helen Leong, Lin Tze Seet, et al. "Polymorphisms Identified through Genome-Wide Association Studies and Their Associations with Type 2 Diabetes in Chinese, Malays, and Asian-Indians in Singapore." Journal of Clinical Endocrinology & Metabolism 95, no. 1 (January 2010): 390–97. http://dx.doi.org/10.1210/jc.2009-0688.
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Utaberta, Nangkula, Nik Farah Elina, and Mohd Tajuddin Mohd Rasdi. "Evaluating the Customs and Rituals of the Malay Culture and its Contribution on Space Design in Modern Terrace House." Applied Mechanics and Materials 747 (March 2015): 56–59. http://dx.doi.org/10.4028/www.scientific.net/amm.747.56.
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In the year 1972, UNESCO has defined the term ‘Malay’ as a tribe in Peninsular Malaysia, Thailand, Indonesia, Filipina, and Madagascar. On the other hand, there was a report about two types of definition in terms of law and anthropology regarding the ‘Malay’. According to constitution in case 160(2), Malays have been defined as a person who is Islam, speaks the Malay language, practices the Malay culture and tradition, born before independence day whether in official Malay Federation grounds or in Singapore or, on the day of independence and he or she is a resident in the federation or in Singapore . A Malaysian Anthropologist, Syed Husin Ali stated that the Malay people are brown skinned, average built but robust as well as polite and rather poetic in terms of appearance . In terms of Ethnology, Malay means a group of community that practices the heritage and generation system that was once applied in Mongoloid race . the aim of this paper is to find out the meaning of ‘culture’, its importance, what is our culture and how culture can be used in this research and how culture can be considered in the design of terrace house in the future.
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Satghare, Pratika, Siow Ann Chong, Janhavi Vaingankar, Louisa Picco, Edimansyah Abdin, Boon Yiang Chua, and Mythily Subramaniam. "Prevalence and Correlates of Pain in People Aged 60 Years and above in Singapore: Results from the WiSE Study." Pain Research and Management 2016 (2016): 1–7. http://dx.doi.org/10.1155/2016/7852397.
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Background. Although pain is experienced among people of all ages, there is a need to study its risk factors and impact among older adults.Aims. The study sought to determine the prevalence, sociodemographics, and clinical correlates of pain along with association of pain with disability among older adults in Singapore.Methods. The WiSE study was a comprehensive cross-sectional, single phase, epidemiological survey conducted among the elderly aged 60 years and above and used a nationally representative sample of three main ethnic groups in Singapore: Chinese, Malays, and Indians. The survey administered 10/66 protocol pain questionnaire, sociodemographic questionnaire, health status questionnaire, World Health Organization Disability Assessment Scale (WHODAS 2.0), and Geriatric Mental State (GMS) examination.Results. A total of 2565 respondents completed the study giving a response rate of 65.5%. The prevalence of pain among the elderly aged 60 years and above is 19.5 %. Females, incomplete primary education Indians, and those diagnosed with any chronic health condition were associated with risk of pain and disability.Conclusion. Study findings showed that disability related to pain among the elderly is considerable making it a priority to reduce the morbidity and disability among the elderly with pain.
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VERBRUGGE, LOIS M., and ANGELIQUE CHAN. "Giving help in return: family reciprocity by older Singaporeans." Ageing and Society 28, no. 1 (January 2008): 5–34. http://dx.doi.org/10.1017/s0144686x07006447.
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ABSTRACTReciprocity is a powerful principle in social ties. The ethos of family reciprocity is especially strong in Asian societies. We study contemporaneous family exchanges, hypothesising that the more current help older Singaporeans receive from family, the more they give in return. Cross-sectional analyses were undertaken of data from two national Singapore surveys conducted in 1995 and 1999. The help received by older people is measured by income and cash support, payment of household expenses by others, having a companion for away-from-home activities, and having a principal carer. The help given by older people is measured by baby-sitting, doing household chores, giving financial help to children, and advising on family matters. Multivariate models are used to examine the factors that affect an older person's ability and willingness to give help. The results show that the more financial support Singapore seniors received from kin, the more baby-sitting and chores they provided. In their swiftly modernising society, Singapore seniors are maintaining family reciprocity by giving time in return for money. We discuss how during the coming decades, reciprocity in Southeast and East Asian societies may shift from instrumental to more affective behaviours.
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Pin Ng, Tze, Tze Pin Ng, Calvin Soon Leng Fones, and Ee Heok Kua. "Preference, Need and Utilization of Mental Health Services, Singapore National Mental Health Survey." Australian & New Zealand Journal of Psychiatry 37, no. 5 (October 2003): 613–19. http://dx.doi.org/10.1046/j.1440-1614.2003.01233.x.
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Objective: To ascertain the extent of the community's preference, needs for and utilization of mental health services, and their socio-demographic determinants in the multi-ethnic Asian community in Singapore. The extent to which need, enabling and predisposing factors determine the likelihood to seek professional help was also examined. Method: Data were analyzed from the Singapore National Mental Health Survey of 1996, based on a stratified random sample of 2947 Chinese, Malay and Indian subjects of the general population aged 13–64 years. Results: An estimated 37% of the general population indicated they would seek professional help if they experienced a serious emotional or mental problem. Although 16.9% were determined by their high general health questionnaire (GHQ) score to need mental health services, only 2.6% in the population used the services of any professional caregiver. Among persons with high GHQ scores, only 5.9% sought any professional help. Among those with a high GHQ score and who were receptive to professional help, only 10.4% actually sought professional help. General practitioners were the most commonly preferred caregiver (49.3%), and were used by 41.1% of those who sought help. Those who sought professional help were more likely to have a high GHQ score and to be inclined to seek professional help. Malays used mental health services more than Chinese, but they did not show a significantly greater prevalence of high GHQ scores, or a greater preference to seek professional help. Receptivity to professional help, high GHQ score, and Malay ethnicity were independent significant predictors of use of mental health service. Conclusion: Need and attitudinal factors predict mental health service utilization, but they still do not explain why a large majority of the population chose not to use mental health services.
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Ali, Gulzar, Huma Ayaz, and Said Zamin Shah. "TESTING THE VALIDITY OF PHILLIPS CURVE FOR SELECTED ASIAN COUNTRIES." Pakistan Journal of Social Research 04, no. 03 (September 30, 2022): 471–80. http://dx.doi.org/10.52567/pjsr.v4i03.737.
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Inflation is the major fear among the people living in the society as it increases the cost of living. Unemployment further adds in this fear as increased unemployment lowers the purchasing power and welfare of the people living in the society. This research study aims to examine the relationship between these two important socio-economic factors (inflation and unemployment) via testing the validity of Phillips Curve for selected Asian countries (Pakistan, Singapore, Sri Lanka, Indonesia, Thailand, Malaysia, Philippines, China, Japan, South Korea and India) using panel data from 1991-2020. The empirical findings show that in short run, the validity of Phillips Curve doesn’t exist in case of the selected Asian countries, however, in the long-run it does. Further, the study found significant relationship between GDP growth and inflation in the studied Asian countries. Moreover, the result of Granger Causality analysis found bi-directional association of inflation and unemployment in selected Asian Countries. Keywords: Inflation, Unemployment, Phillips Curve, Asian, Panel data.
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Vittal, Jagadese. "IYCr outcome in SE Asia." Acta Crystallographica Section A Foundations and Advances 70, a1 (August 5, 2014): C1292. http://dx.doi.org/10.1107/s2053273314087075.
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Crystallography has been extensively practiced in a number of Asian countries such as India, China, Japan, S. Korea, Taiwan, Australia, New Zealand and Singapore, and to a lesser extent in Malaysia and Thailand for decades, but not in many parts of South East Asia. The International Year of Crystallography (IYCr 2014) provided an opportunity to reach out some of these countries to initiate or intensify the crystallographic activities in terms of workshops, conferences, crystal growing competition, etc. As a part of this initiative, the IUCr with the help of the Asian Crystallographic Association contacted various academicians and researchers in Malaysia, Thailand, Indonesia and Fiji to increase the awareness of the science of crystallography through various activities, to promote education and research in crystallography and to inspire young people through hand-on demonstration in school, among the activities planned in 2014. The speaker will collate the details of these activities and present in his talk. He will also discuss details of the Crystal Growing Challenge in Singapore among the other activities planned to celebrate IYCr 2014 in Singapore.
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Picco, L., E. Abdin, S. A. Chong, S. Pang, S. Shafie, J. Vaingankar, and M. Subramaniam. "Factors Influencing Attitudes Towards Seeking Professional Psychological Help: Findings From A Multi-Ethnic Asian Population-Based Study." European Psychiatry 33, S1 (March 2016): S521. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1929.
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IntroductionVarious socio-demographic variables have been shown to influence attitudes towards seeking professional psychological help (ATSPPH), while negative ATSPPH can act as a barrier to mental healthcare, resulting in under-utilization of psychological services.Aims and objectivesTo explore the factor structure of the ATSPPH scale and determine whether any significant socio-demographic differences exist in relation to ATSPPH among a nationally representative sample.MethodsData was extracted from a population-based, cross-sectional survey conducted between March 2014 and March 2015 among Singapore Residents aged 18-65 years (n = 3006). Respondents completed the 10-item ATSPPH scale and also provided socio-demographic information. Exploratory factor analysis (EFA) was performed to establish the factor structure of the ATSPPH scale. Multivariable linear regression analyses were conducted to examine socio-demographic factors associated with ATSPPH.ResultsEFA revealed that the ATSPPH scale formed three distinct dimensions comprising “Openness to seeking professional help”, “Value in seeking professional help” and “Preference to cope on your own”. Higher “Openness to seeking professional help” scores were significantly associated with 18-34-year-olds and unmarried respondents, whilst Malay ethnicity and lower education were significantly associated with lower openness scores. Malays, Indians and lower education were significantly associated with lower “Value in seeking professional help” scores, whereas higher “Preference to cope on your own” scores were significantly associated with lower education.ConclusionPopulation subgroups including those with lower educational levels and different ethnic groups have more negative ATSPPH. Tailored, culturally appropriate educational interventions which reduce negative ATSPPH are needed, which effectively target these populations.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Menkhoff, Thomas, Ulrike Badibanga, and Chay Yue Wah. "Managing Change in Asian Business – A Comparison between Chinese-Educated and English-Educated Chinese Entrepreneurs in Singapore." Copenhagen Journal of Asian Studies 25 (February 5, 2008): 50–73. http://dx.doi.org/10.22439/cjas.v25i0.1429.
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Abstract
Against the background of the current rapidly changing business environment, the article examines the organizational change management behaviour of the owner-managers of small and medium sized enterprises (SMEs) in Singapore. The analysis of survey data is aimed at ascertaining whether there are any differences between Chinese and English educated small (ethnic Chinese) businessmen in terms of Change Management (CM), a dichotomy that is of great historical and politico-cultural significance in Singapore. The survey data show that there are indeed differences between the subgroups (eg with regard to the
initiation of a more participatory people management style) but these variations turned out to be far less pronounced than expected. Access to information and actionable managerial knowledge appears to be a key precursor to the various change management approaches used by both groups. Chinese educated businessmen in particular seem to be somewhat disadvantaged in this respect, as modern change management literature is still largely only published in English.
Keywords: Ethnic Chinese, small and medium-sized enterprises (SME), Republic of Singapore, organizational change management.
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Chang, Sherilyn, Hui Lin Ong, Esmond Seow, Boon Yiang Chua, Edimansyah Abdin, Ellaisha Samari, Wen Lin Teh, Siow Ann Chong, and Mythily Subramaniam. "Stigma towards mental illness among medical and nursing students in Singapore: a cross-sectional study." BMJ Open 7, no. 12 (December 2017): e018099. http://dx.doi.org/10.1136/bmjopen-2017-018099.
Full textAbstract:
ObjectivesTo assess stigma towards people with mental illness among Singapore medical and nursing students using the Opening Minds Stigma Scale for Health Care Providers (OMS-HC), and to examine the relationship of students’ stigmatising attitudes with sociodemographic and education factors.Design and settingCross-sectional study conducted in SingaporeParticipantsThe study was conducted among 1002 healthcare (502 medical and 500 nursing) students during April to September 2016. Students had to be Singapore citizens or permanent residents and enrolled in public educational institutions to be included in the study. The mean (SD) age of the participants was 21.3 (3.3) years, with the majority being females (71.1%). 75.2% of the participants were Chinese, 14.1% were Malays, and 10.7% were either Indians or of other ethnicity.MethodsFactor analysis was conducted to validate the OMS-HC scale in the study sample and to examine its factor structure. Descriptive statistics and multivariate linear regression were used to examine sociodemographic and education correlates.ResultsFactor analysis revealed a three-factor structure with 14 items. The factors were labelled as attitudes towards help-seeking and people with mental illness, social distance and disclosure. Multivariable linear regression analysis showed that medical students were found to be associated with lower total OMS-HC scores (P<0.05), less negative attitudes (P<0.001) and greater disclosure (P<0.05) than nursing students. Students who had a monthly household income of below S$4000 had more unfavourable attitudes than those with an income of SGD$10 000 and above (P<0.05). Having attended clinical placement was associated with more negative attitudes (P<0.05) among the students.ConclusionHealthcare students generally possessed positive attitudes towards help-seeking and persons with mental illness, though they preferred not to disclose their own mental health condition. Academic curriculum may need to enhance the component of mental health training, particularly on reducing stigma in certain groups of students.